Can You Have Ectopic Pregnancy With A Negative Test?

The pregnancy journey is different for everyone and is not always simple. Although a negative test after missing periods can be confusing, it may be an ectopic pregnancy. This type of pregnancy is not normal and occurs when the fertilized egg implants are outside the uterus and poses a threat to the health of the mother and baby.

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    Detailed Explanation of Ectopic Pregnancy

    Normally, a fertilized egg implants inside the uterus, but in this condition, it goes and embeds in the fallopian tube. Rarely, it may also do so in other areas such as the cervix, ovary, or abdominal cavity. This misplacement can open gates to hazardous situations, which often do not have favorable outcomes.

    Every part of the reproductive system has a specific job to do. The fallopian tube is designed for egg transport, not growing a fetus. When the fertilized egg matures there, it stretches and ruptures the delicate tube walls, resulting in excruciating pain.

    Thanks to advancements in medicine, deaths from ectopic pregnancies are rare. However, early detection and treatment can prevent complications and future fertility issues.

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    Types of Ectopic Pregnancies

    While the fallopian tube is the most common location and accounts for 98% of cases, it is not the only one.

    1. Fallopian Tube Pregnancies
      They are further divided into specific categories according to the location within:
      • Fimbrial: The egg implants in the fimbria. It is the funnel-shaped opening of the fallopian tube.
      • Ampullary (most common): This is the central section of the tube and usually the most common place of the egg implanting.
      • Isthmic: It accounts for 12% of the cases, and the egg implants in the narrow, muscular part of the fallopian tube.
    2. Non-Tubal Pregnancies
      When the fertilized ovum settles anywhere other than the uterus and fallopian tubes, the pregnancy is categorized into a non-tubal zone. These are much less frequent and often occur in the ovary, cervix, or even the abdominal cavity.
    3. Heterotopic Pregnancy
      Although it is an uncommon scenario, one cannot completely ignore the incidence of this happening. A woman might experience a heterotopic pregnancy where only one fertilized egg implants correctly within the uterus while the other implants ectopically. This occurs in around 1 in 30,000 women.

    Ectopic Pregnancy with a Negative Test

    It is possible for ectopic pregnancies to present with a negative pregnancy test in a small percentage of cases. You can expect this to happen in fewer than 3% of ectopic pregnancies.

    Differentiating Normal and Ectopic Pregnancy

    So, how can you distinguish an ectopic pregnancy from a regular one? Well, there are some distinguishing signs that can help with the identification. Some of the first warning signs of an ectopic pregnancy include:

    1. Vaginal bleeding
    2. Pelvic pain
    3. Missed periods

    The tricky part is that these symptoms resemble those of a normal pregnancy, with the symptoms appearing around 6-8 weeks into the gestation period.

    Some other signs include:

    1. Shoulder pain
    2. Pain in the neck
    3. Discomfort on one side of the body
    4. Dizziness
    5. Nausea

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    Closing Note

    In a nutshell, you may get negative tests in case of an ectopic pregnancy. This is why you must be vigilant with the signs your body shows. Usually, it starts with missed periods and moves on to other uncomfortable symptoms.

    We hope that this piece of reading provided the answers you seek. If you have more questions regarding this, get in touch with our expert, Dr. Munira Dudhbhai, MD, FACOG, certified with the American Board of Obstetrics and Gynecology, at Lewisville Women’s Care. We always prioritize open communication, so consider us just a call away to help you with your gynecological health management. Call us at (972) 956-8008 to schedule an appointment today.


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